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Non-Surgical Body Sculpting: CoolSculpting

When undergoing a body-sculpting procedure, skills and experience are critical. Our office was one of the first adopters of this unique technology and over time has developed years of experience treating patients with CoolSculpting in Worcester.

Our staff are known for their compassionate, caring approach, and have undergone advanced training to properly assess and create effective treatment plans for our patients. If you are considering body-sculpting, you can be confident that your treatment will be performed with precision and skill, customized to maximize results.

What Is CoolSculpting® By Allergan

CoolSculpting® is a unique non-surgical treatment to reduce the fat in localized areas such as the tummy, thighs, buttocks, or back. This non-invasive procedure represents an alternative to surgical liposuction or SmartLipo™ with the use of a novel cooling technology that effectively reduces the number of fat cells in the treated areas. Body regions we most commonly treat include the central abdomen, waist (love handles) arms, legs, chin and back. Unfortunately, despite all of your efforts with exercise and diet, fat deposits can remain. Our Coolsculpting in Worcester has consistently reduced fatty deposits in these zones at the rate of 22 to 25 percent.

Allergan, the company that manufactures the CoolSculpting device, based its technology on research performed at the same Harvard laboratories that did the ground work for other non-invasive technologies including laser hair removal, tattoo removal and Ultherapy™. Observations of fat loss in children who habitually sucked on popsicles lead to the discovery of a body process called cryolipolysis, or the reduction of fat tissue due to exposure to cold.

CoolSculpting Worcester

CoolSculpting Belly

What is the science behind CoolSculpting?

The CoolSculpting process is based upon cryolipolysis, or the targeted reduction of the number of fat cells with cold temperature. The controlled cooling ultimately induces apoptosis, or death of the affected fat cells, which are then naturally shed by the body over the following weeks and months. The process is performed without physical skin penetration; the specific cold temperature leads to fat reduction without injury to the surrounding skin or other tissues.

After the treatment, apoptosis begins on a microscopic level as the fat cells contract. The adjacent skin, nerves, muscles and vessels are unharmed with this system. Fat stored within the cells is released from cell walls and discarded through natural body processes. Our CoolSculpting in Worcester fat reduction treatment has been found to be very safe. It occurs slowly and gradually, so no noticeable change in the blood’s lipid and cholesterol levels occur. As the fat cells are shed, the thickness of the fat layer is reduced.

Frequently Asked Questions About CoolSculpting

Is CoolSculpting Approved By The FDA?

The FDA gave its final approval to CoolSculpting for fat removal from targeted fat compartments in September 2010. Patients in Europe and elsewhere in the world had the advantage of CoolSculpting way before this time. Our patients today can benefit from the vast experience gained over the years with this new treatment of non-invasive fat removal.

What Is The Science Behind CoolSculpting?

The procedure of CoolSculpting takes advantage of cryolipolysis which describes the targeted destruction of fat cells through cold temperatures. Fat cells experience injury through cooling leading to removal of these susceptible cells naturally by the body. This cooling can be performed without physical skin penetration; the specific cold temperature leads to treatment of fat without causing injury to skin or other tissues. Just like fat on a piece of meat turns from soft to very hard when put in the freezer, human fat changes from liquid to solid state at precise temperatures. This process induces apoptosis, a naturally pre-programmed progression leading eventually to complete removal of the injured fat cells.

After the treatment, apoptosis starts on a microscopic level by contraction of the fat cells. The adjacent skin, nerves, muscles and vessels are left unharmed. Fat stored within the cells loses its containment and is slowly and naturally absorbed by our body systems. CoolSculpting-induced fat removal was found to be very safe: because it happens slowly and gradually, no noticeable change on the blood’s lipid and cholesterol levels occur. As the fat cells disappear, the thickness of the fat layer is reduced.

How Is The Procedure Performed?

During your consultation, the patient’s specific problem areas and candidacy for CoolSculpting are determined. Your overall body constitution, the location and amount of fat excess, patient expectations and your desires are determined. A treatment plan is developed specifically for your situation. CoolSculpting is performed without medications or anesthesia. The body area to be treated is mapped and we apply a specific gel sheet in order to protect your skin. A vacuum applicator is chosen for your particular sculpture which allows the fat pocket to be drawn away from your trunk for the treatment. Cooling panels positioned within this applicator initiate the temperature reduction of the fatty tissue. Safety is provided through sensors within the applicator that deliver feedback for proper cooling. We have the latest applicators which reduces treatment time to 35 minutes. Mild massage of the treated fat tissue marks the end of the therapy. No other local care is necessary after the treatment.

What Does CoolSculpting Feel Like?

Our patients experienced the CoolSculpting procedure with ease; partly because cold (as opposed to hot temperatures) is an effective anesthetic. During the treatment, patients read, listen to music or simply rest; even napping has occurred. For many, the application of the gel pad gives them a little shiver although these pads are stored at room temperature. The moment when the treatment area is sucked into the applicator is described by most as “interesting” or “strange”. Other patients find this uncomfortable. The cooling down phase feels similar to the use of an ice pack to this part of your body. Once the pain reducing anesthetic qualities of cold come slowly into effect, patients relax for the remainder of the 60 minutes; the CoolSculpting machine gently humming in the background.

What Can You Expect After The Procedure?

After removal of the cooling applicator, the treated area is still cold (although numb) and will appear prominent. As the tissue regains its normal temperature, the normal shape will return leaving just some skin pinkness behind. By the next day, many patients do not see or feel much in the treated area; others have described a slight sense of tenderness. Because of the negative suction pressure, the treated area can appear like a “hickey” with some broken capillaries or mild bruising. Total resolution of these signs usually takes a few days, but can take up to a couple of weeks.

When Will You See Results After CoolSculpting?

Because of the natural removal of fat cells, patients have to allow their body to do the work. It takes easily 3 weeks for most patients to observe a slight improvement. Complete treatment results can take 3 or 4 months during which time the body had a chance to completely remove the apoptotic fat cells necessary for the cosmetic improvement. Treatment may result in up to 22 to 25% reduction of fat in the treated areas, enough for good candidates to see a significant improvement.

Can I Have Additional CoolSculpting Treatments?

Our CoolSculpting in Worcester procedure is designed to deliver results after one treatment session; it is not a mandatory treatment series. This does not prevent further treatments, even in previously treated areas, if a patient seeks additional benefits. We recommend waiting 3 months before undergoing the second CoolSculpting session of the same regions; other regions can be treated at any time.

What Are Possible Side Effects After CoolSculpting?

Allergan’s CoolSculpting was found to be a very safe and effective non-invasive and no-downtime procedure. You can resume your normal activities after the treatment. The most common side effects are related to the cold temperature and suction application to the skin including pinkness, pins-and-needles sensation, skin numbness, broken capillaries or bruising, tenderness and pain which may take up to a couple of weeks to resolve. The most significant side effect that has been described (approximately 1 out of 3,000 treatments) is more significant pain in the treatment area that may last a couple of weeks to resolve. This pain always resolved and it remains unclear why so very few people develop it in the first place. No long-lasting side effects have been encountered.

Could I Have Liposuction Or SmartLipo (A.K.A. Laser Liposuction) After CoolSculpting?

Yes, that should not be a problem. Because of the induction of natural fat cell loss, there is not scaring after CoolSculpting. In fact, the remaining tissue looks totally normal under the microscope – just with less fat. Therefore, if a patient wishes to undergo conventional liposuction or laser-assisted liposuction (SmartLipo etc.) years later, the liposuction procedure can be performed safely and effectively. The CoolSculpting-induced fat reduction will remain.

Will There Be Dimples, Bumps Or New Skin Wrinkles After CoolSculpting?

These side effects have not been reported after the procedure. Although a concern after surgical liposuction or SmartLipo, CoolSculpting does not appear to result in noticeable dimpling or unevenness of the treated body region. But it also has to be noted that cryolipolysis does not lead to skin tightening; therefore, skin laxity present before the procedure should be expected to be there afterwards.

How Long Will The CoolSculpting Results Last?

The procedure is based on cryolipolysis, an effective reduction in the number of fat cells within the treated areas. The number of fat cells will not increase after they have been removed through CoolSculpting. Of course, weight gain is undesirable after CoolSculpting. In cases of weight changes, the volume of remaining fat will be effected but an advantage will continue.

Does CoolSculpting Replace Weight Loss Through Exercise Or Diet?

No, it does not. In fact, CoolSculpting will be most effective for patients within 10 to 15 pounds of their ideal body weight. If you plan on losing weight in conjunction with CoolSculpting, you certainly want to do so before your procedure. Most people are still left with bothersome fat compartments after successful weight loss which will be amenable and will give you the best CoolSculpting Worcester has to offer.

A double chin is a cosmetic problem for many people, even those who are not overweight. Submental (under the chin) fat often detracts from the definition of the jawline, makes a person look heavier, and adds years to a person’s appearance. Until recently, the only cosmetic solutions for a double chin were facelift surgery and liposuction.

Dr. Fechner always stays on the cutting edge of the latest developments in aesthetics, and offers his patients advanced, non-surgical treatments for the double chin. CoolMini neck sculpting is a safe, non-surgical treatment to reduce submental fat and create more attractive contours in the neck and jawline. As with any facial procedure, the most critical issue is the hands behind the treatment. Dr. Fechner and his highly trained master aestheticians are personally committed to maximizing the results with custom anti-aging treatments.

What are CoolMini neck treatments?

CoolMini is a completely non-invasive treatment using patented CoolSculpting technology. The CoolMini device was approved by the FDA in late 2015 for fat reduction in the area under the chin. Depending on the patient and the amount of fat under the chin, one to three treatments can create a dramatic improvement in submental fullness with minimal side effects.

There are no needles, no anesthetic, and no downtime with CoolMini neck sculpting in Worcester. Results appear over time, as the body naturally absorbs and removes destroyed fat cells.

How do CoolMini neck treatments work?

This treatment uses CoolSculpting technology known as cryolipolysis. Controlled cooling in the area under the chin destroys fat cells without damaging the surrounding skin and tissue. The body removes the dead fat cells through its natural processes to significantly reduce fat under the chin with long-lasting results.

Benefits of CoolMini Neck Sculpting

One session of CoolMini neck treatment takes approximately one hour to perform and can destroy approximately one-third of the fat beneath the chin. This is a safe, effective, easily-tolerated procedure to correct a double chin that does not require taking time out of your life to rest and recover.

Frank P. Fechner, M.D. is a double board-certified plastic surgeon in Boston with more years of experience, and a practice focused on surgical and non-surgical cosmetic procedures of the face.


Dr. Frank Fechner

428 Shrewsbury Street,Worcester, MA 01604

Fax: (508) 754-4222 Tel: 508-306-8363

428 Shrewsbury Street, Worcester, MA 01604


On behalf of the entire team at Fechner MD Plastic Surgery & Medical Spa, we would like to take a moment to say thank you again for your loyalty and support during this unprecedented time. The past several months have been unlike anything we've ever experienced, and we're working hard to evolve so that we can continue to provide you with the patient experience you have come to expect from our practice.

Since the beginning of the COVID-19 worldwide pandemic, Fechner MD Plastic Surgery & Medical Spa has taken extreme precautionary measures, in addition to following the most up to date CDC recommendations and state guidelines to maximize the health and safety of our patients, staff and facility. Our surgical center and medical spa remain committed to providing the best patient care, and we are actively working to take all necessary precautions as we plan to safely re-open our practice. Please help us continue to protect the health and well-being of our patients and workplace by cooperating with all of our precautionary measures and protocols against COVID-19 at your next appointment, or as you plan for your surgery.



As a fully accredited surgical facility, Fechner MD has always observed the highest level of safety and sanitation. In fact, as a surgeon, Dr. Fechner is an expert in infection control. We want to ensure that we are doing everything possible for our patients to safely return for surgical and medical spa treatments alike.

  • Our accredited practice is exclusively reserved for our patients and staff.
  • Our facility is in a single, free standing building only occupied by our practice. This allows us to limit foot traffic to our patients and staff only.
  • Our staff work only at our facility and all travel in private transport. All of us are otherwise self-isolating at home.
  • We closely monitor our staff for symptoms and elevated temperature daily.
  • We sterilize all our instruments in house further reducing potential exposure.
  • We have PPE to meet our needs.
  • All our staff members will be using appropriate PPE including N95 masks and protective facei shields, goggles and head coverings.
  • We have purchased and installed air scrubbers throughout the facility to clean the air while the practice is open to patients.
  • We have purchased and installed ozone generators designed to sanitize the air in the facility at the end of each day.
  • We have purchased and installed touchless hand sanitizer units throughout the building.
  • We have purchased and installed plexi-glass protective shields in the reception area to provide a protective barrier for staff and patients.
  • Our staff continues to adhere to social distancing guidelines within our facility.
  • We have implemented a stringent survey and testing protocol for staff and patients.
  • We have implemented a virtual check in/ check out process for our patients.
  • We have ensured that there is minimum interaction of patients with other people while in the office.
  • We will continue to offer virtual consults and virtual follow up visits.
  • We provide you with a touchless payment system.

The upgraded work flow and safety protocols we have implemented at Fechner MD far exceed those being recommended by any government agency.



Fechner MD will adhere to all local, state, and government mandates. We expect to cautiously resume medical spa and injectable treatments during Phase 2 of the Massachusetts phased reopening. We are awaiting a definitive date from Governor Baker. Cosmetic surgery is expected to resume during Phase 3 of Governor Baker’s plan. We ask for your patience and understanding as our staff is working diligently to reschedule all surgeries and procedures affected by our closure. Please understand that in order to open and adhere to Massachusetts guidelines, we will need to limit the number of staff and patients we have in our building and extend the time between patient appointments in order to sanitize rooms. This means we will have fewer available openings for procedures. In order to maximize our provider appointments, we will continue to hold consultations virtually rather than in person, with a few exceptions (body contouring, Instalift, vein treatments).



  • We will do our best to accommodate your preferred appointment date and time, but we very much appreciate your flexibility during this unprecedented time.
  • When booking your appointment, we will ask for your payment information to be securely stored in our payment system. The card you provide will be the card used to pay for your services. This will allow for a touchless checkout.
  • Required forms and documents will be sent to you electronically two days prior to your scheduled appointment via our new patient app, Touch MD. Touch MD will allow you to receive, review and sign documents directly from your personal cell phone.
  • One hour prior to your appointment, we will send you the Covid-19 Wellness Screening document to be completed via Touch MD. This must be completed prior to entering the building.



  • When you arrive for your scheduled appointment time, we ask that you park and remain in your car. Please send us a text message or call to let us know that you have arrived for your appointment.
  • When your provider is ready for your treatment, she will call or text you to let you know you may proceed to our vestibule.
  • Please leave your coat and personal belongings in your car.
  • Please do not bring along family or friends, unless you require physical assistance. They will not be allowed entry to the building.
  • Please wear your mask prior to entering the building and throughout your appointment. Should your mask need to be removed for treatment, your provider will let you know when to safely remove it.
  • Your provider will greet you at the door and will take a no contact temperature reading. *Any patient with a temperature of 100 degrees or higher will be asked to leave the building and their appointment will be rescheduled a minimum of 14 days later.
  • You will be escorted immediately to a treatment room. Our waiting room will not be open during this time.
  • After your procedure or treatment the provider will collect payment via our secure payment system with the information you provided at booking.
  • Your provider will book a virtual follow up appointment with you, if necessary, and will escort you to the exit.


We thank you in advance for your patience throughout this time, and we look forward to seeing you here again as we begin to resume business operations. If you have any questions or concerns, please contact Fechner MD Plastic Surgery & Medical Spa at (508) 754-4000 and our team will gladly assist you. Thank you!

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